This is going to be a long post, but it needs to be written. It has to do with a developing leader being told to speak up – but not speak up >too< much. It has to do with a seasoned physician being presented with a terrible choice: remain true to herself or become someone else’s definition of success.
And it has to do with trusting that one’s core values and self are really … perfectly reasonable and adequate, after all.
First of all, folks, let me set up this situation.
#1) Recruiting physicians to a rural area is the hardest recruit in all of medicine. When we see a quality applicant, everyone knows that this applicant is looking at several other locations, all equally in need of good help. Other locations do not have the constraints that my group does; we cannot throw a boatload of money at a candidate because of the way the larger organization is structured (our constraints involve maintaining Medicare designation, nonprofit status, etc.) What that means is this organization, unlike others who are also recruiting as hard as they can, is required to offer industry standard rates for things like salaries. We have to be careful with extra incentives like financial bonuses or created directorships to help the employment package. That’s cool, though. In the end, we doctors who want to be here for the right reasons. Just understand that candidates are not beating down any doors -- anywhere, given supply/demand in the market these days. And especially not FP/Ob (family docs who do obstetrics). They’re like the Sasquatch or the last of the white rhinos.
Author, daydreamer, and practitioner of trying very hard to duct tape folks together and help when I can.
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